DR. ANDREW MODI (NPI# 1538353818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538353818 |
| Entity Type | Individual |
| Full Name | DR. ANDREW MODI |
| Credential | DDS |
| Practice Address |
95 W Grand Ave Lake Villa IL 60046-8641 |
| Practice Telephone | 8473562336 |
| Mailing Telephone | 8473562336 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019024927 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326658220 | Andrew Thomas Modi | Physical Therapist | 1111 Lower Fayetteville Rd Ste 2000, Newnan, GA 30265-6506 | 2020-08-05 |
| Street Address |
95 W GRAND AVE |
| City | LAKE VILLA |
| State | IL |
| Zip Code | 60046-8641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790709178 | George Winston Lutz | Psychologist | 95 W Grand Ave, Suite 205, Lake Villa, IL 60046-8641 | 2006-07-27 |
| 1235358508 | Bruce Carl Teipel | Dentist | 95 W Grand Ave, Suite 212, Lake Villa, IL 60046 | 2007-04-25 |
| 1982759932 | Michael Paul Teluk | Dentist | 95 W Grand Ave, Lake Villa, IL 60046-8641 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021287 | Kathryn Anne Harper | Physical Therapist | 7900 Rollins Road, Lake Villa, ID 60046 | 2020-04-16 |
| 1508346263 | Milennium Medical Ltd | Nurse Practitioner | 2866 Falling Waters, Lindenhurst, IL 60046 | 2018-08-21 |
| 1497264121 | Gail Truger | Speech-Language Pathologist | 24750 W. Dering Lane, Lake Villa, IL 60046 | 2017-09-26 |
| 1104345669 | Tobias V Schirmer | Speech-Language Pathologist | Palombi Middle School, 133 South Mckinley, Lake Villa, IL 60046 | 2017-09-15 |
| 1699163410 | Daniel Aron Goldberg | Psychologist | 600 West Grand Avenue, Lake Villa, IL 60046 | 2014-12-31 |
| 1962838946 | Kendall Barber | Physical Therapist | 50 S Milwaukee Ave Ste 201, Lake Villa, IL 60046 | 2013-09-23 |
| 1790045284 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1025 Red Oak Lane, Suite 100, Lindenhurst, IL 60046 | 2012-05-18 |
| 1548534977 | Daniela Cvetkova | Counselor | 3021 Falling Waters, Lindenhurst, IL 60046 | 2012-03-02 |
| 1225310568 | Dimitrios George Tsakos | Pharmacist | 399 South Route 45, Lindenhurst, IL 60046 | 2011-09-13 |
| 1285933085 | Abigail Jean Bradley | Developmental Therapist | 87 Bridlepath Drive, Lindenhurst, IL 60046 | 2011-03-18 |
| Find all providers in zip 60046 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609199165 | Avid Dental Lindenhurst, LLC | Dentist | 2246 E. Grand Ave, Lake Villa, IL 60046 | 2010-03-11 |
| 1245463371 | De Los Reyes Dental Ltd. | Dentist | 300 N. Milwaukee Avenue, Ste. A, Lake Villa, IL 60046 | 2009-08-24 |
| 1376721985 | Jose B De Los Reyes | Dentist | 300 North Milwaukee Avenue, Suite A, Lake Villa, IL 60046 | 2008-02-06 |
| 1861656639 | George Neil Garrett | Dentist | 605 E Grand Ave, Lake Villa, IL 60046-7810 | 2008-07-10 |
| 1982759932 | Michael Paul Teluk | Dentist | 95 W Grand Ave, Lake Villa, IL 60046-8641 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLA |
| Zip Code | 60046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.